ST VINCENT EVANSVILLE BREAST CENTER
NPI 1215332309
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Newburgh, IN

Q: What is St. Mary's Health, Inc.'s NPI number?

The NPI number for St. Mary's Health, Inc. is 1215332309. It was assigned to this organization in the NPPES registry on October 31, 2014. The provider is doing business as St Vincent Evansville Breast Center and Ascension St. Vincent Evansville Breast Center.

Q: What is St. Mary's Health, Inc.'s specialty?

The primary specialty registered for this NPI is Portable X-ray and/or Other Portable Diagnostic Imaging Supplier with taxonomy code 335V00000X.

Active since October 31, 2014

100 ST MARYS EPWORTH XING, SUITE A500, NEWBURGH, IN 47630(812) 485-4437 Get Directions Write a Review

NPPES record last updated: June 29, 2020. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jun 29, 2020, Feb 27, 2017 (2 updates tracked since 2017).

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About St Vincent Evansville Breast Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ST VINCENT EVANSVILLE BREAST CENTER (NPI 1215332309) is a healthcare organization registered as a portable x-ray and/or other portable diagnostic imaging supplier in Newburgh, Indiana and active in the NPI registry since October 2014. The organization lists Keith Jewell, President, as its authorized official.

NPPES Registry Identity

NPI1215332309

Entity TypeOrganization

Primary Taxonomy335V00000X

Legal Business NameST. MARY'S HEALTH, INC.

Location Address100 ST MARYS EPWORTH XING, SUITE A500Newburgh, IN 47630-9497

Mailing Address100 St Marys Epworth Xing, Suite A500Newburgh, IN 47630-9497 · (812) 485-4437

Phone(812) 485-4437

Organization SubpartNo

Authorized OfficialKeith JewellPresident · (812) 485-4000

Enumeration DateOctober 31, 2014

Last NPPES UpdateJune 29, 20202 updates tracked since enumeration

NPPES CertifiedJune 29, 2020

✔ NPI 1215332309 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPortable X-ray and/or Other Portable Diagnostic Imaging SupplierSuppliers

Taxonomy Code335V00000X

Definition

A supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all state and federal requirements, under the general supervision of a qualified physician. All necessary resources are transported to the patient's location where the services are performed.

100 ST MARYS EPWORTH XING, Newburgh, IN 47630

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Other Names 2

Doing Business AsSt Vincent Evansville Breast Center

Doing Business AsAscension St. Vincent Evansville Breast Center

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

St Vincent Evansville Breast Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to St Vincent Evansville Breast Center, which bills Medicare for the services this clinician delivers.

Clinician (1)

Charles Lackey, D.O.

Diagnostic Radiology

NPI 1528016532

100 ST MARYS EPWORTH XING STE. A500
Newburgh, IN 47630

(812) 471-1591

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is St. Mary's Health, Inc.'s NPI number?

The NPI number for St. Mary's Health, Inc. is 1215332309. It was assigned to this organization in the NPPES registry on October 31, 2014. The provider is doing business as St Vincent Evansville Breast Center and Ascension St. Vincent Evansville Breast Center.

Where is St. Mary's Health, Inc. located?

St. Mary's Health, Inc. is located at 100 St Marys Epworth Xing Suite A500, Newburgh, IN 47630. The listed phone number is (812) 485-4437.

What is St. Mary's Health, Inc.'s specialty?

The primary specialty registered for this NPI is Portable X-ray and/or Other Portable Diagnostic Imaging Supplier with taxonomy code 335V00000X.

Is St. Mary's Health, Inc. enrolled in Medicare?

Yes. St. Mary's Health, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through St. Mary's Health, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Diagnostic Radiology) reassigns their Medicare billing to St. Mary's Health, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for St. Mary's Health, Inc. was last updated on June 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.